Table 3.
Determinants of outcome in 142 patients with severe traumatic head injury undergoing decompressive craniectomy
| Favorable (n=65) | Unfavorable (n=77) | p -value | |
|---|---|---|---|
| Age (years) | 32.9 ± 13.9 | 36.5 ± 16.7 | 0.171 |
| Gender | |||
| Men (%) | 58 (89.2%) | 69 (89.6%) | 0.577 |
| Women (%) | 7 (10.8%) | 8 (10.4%) | |
| Time interval (days) | 1.66 ± 1.48 | 1.66 ± 1.83 | 0.998 |
| Glasgow Coma Scale | |||
| On admission | 8.03 ± 2.89 | 5.60 ± 2.35 | <0.001 |
| After resuscitation | 11.62 ± 1.99 | 4.77 ± 2.86 | <0.001 |
| Operation characteristics | |||
| Duration (minutes) | 169.0 ± 35.81 | 173.1 ± 45.10 | 0.559 |
| Bleeding (mL) | 996.9 ± 840.9 | 1247.4 ± 872.5 | 0.085 |
| Time to cranioplasty (days) | 53.69 ± 20.16 | 58.00 ± 21.14 | 0.867 |
| ICU length of stay (days) | 15.67 ± 11.08 | 16.10 ± 17.87 | 0.204 |
| Hospital length of stay (days) | 23.47 ± 13.88 | 19.61 ± 20.62 | 0.435 |
| Complications | |||
| Meningitis (%) | 24 (36.9%) | 31 (40.3%) | 0.408 |
| Subdural hygroma (%) | 15 (23.1%) | 7 (9.1%) | 0.019 |
| Hydrocephalus (%) | 3 (4.6%) | 14 (18.2%) | 0.011 |
| Reoperation (%) | 2 (3.1%) | 1 (1.3%) | 0.436 |
| Other Operations | |||
| ICP monitoring (%) | 24 (36.9%) | 33 (42.9%) | 0.293 |
| Tracheostomy (%) | 22 (33.8%) | 27 (35.1%) | 0.511 |
| DPAa (%) | 23 (35.4%) | 24 (31.2%) | 0.362 |
| VP-Shunt insertion (%) | 3 (4.6%) | 10 (13.0%) | 0.074 |
| Gastrostomy (%) | 2 (3.1%) | 6 (7.8%) | 0.200 |
a
DPA: Deep Peritoneal Aspiration